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Early mobilization following angioplasty
J S Butterfield1, J B Fitzgerald, R Razzaq
1South Manchester University Hospitals, N.H.S. Trust, Nell Lane, West Didsbury, Machester, UK
Clinical Radiology
|November 9, 2000
Summary
Early mobilization after angioplasty is safe, with most patients ambulating within 4 hours. This study supports the feasibility of day case angioplasty by assessing puncture site complications.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Patient Recovery Protocols
Background:
- Early mobilization protocols post-angioplasty aim to reduce hospital stay.
- Assessing puncture site complications is crucial for same-day discharge feasibility.
Purpose of the Study:
- To evaluate the incidence of puncture site complications in inpatients undergoing early mobilization after angioplasty.
- To determine the safety and efficacy of a 4-hour mobilization protocol for day case angioplasty.
Main Methods:
- Prospective study of 128 patients undergoing peripheral and renal angioplasty (sheath size ≤ 6 Fr).
- Mobilization protocol: 2-hour supine rest, followed by ambulation at 4 hours post-procedure.
- Puncture sites assessed for hematoma, bruising, and discomfort.
Main Results:
- 90% of patients successfully mobilized at 4 hours; 10% required prolonged bed rest.
- 44 hematomas (26% < 2.5 cm, 4.9% 2.5-7.5 cm) and 4 cases (2.8%) of bruising > 7.5 cm observed.
- No major hemorrhagic complications requiring surgery or transfusion occurred within 4 hours.
Conclusions:
- Early mobilization at 4 hours post-angioplasty is feasible in the majority of patients.
- The study suggests that day case angioplasty is a viable option for most patients.
- No delayed complications were reported, supporting the safety of this early mobilization strategy.